Matthew Folstein, MD
NPI 1952536674 · Surgery Physician · Mishawaka, IN
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Folstein, MD is a Surgery Physician provider in Mishawaka, IN (NPI 1952536674).
Provider details
- NPI number
- 1952536674
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 01074919A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
6 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
235 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 65 | $155 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 27 | $119 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 27 | $120 |
| Creation of Muscle Graft to Trunk15734 | 24 | $1,037 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 22 | $73 |
| Removal of Gallbladder With X-Ray Study of Bile Ducts Using an Endoscope |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$16 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (5)
- 301 Gordon Gutmann Blvd Ste 401Jeffersonville, IN 47130-3768Phone: (812) 282-0637Fax: (812) 283-6330
- 1373 E State Road 62 Ste 2cMadison, IN 47250-7328Phone: (812) 801-0840Fax: (812) 801-0024
- 1461 N Gardner StScottsburg, IN 47170-7751Phone: (812) 752-8592Fax: (812) 283-6330
- 621 Memorial DrSuite 302South Bend, IN 46601-1063Phone: (574) 236-1888Fax: (574) 236-1887
- 621 Memorial DrSuite 302South Bend, IN 46601-1063Phone: (574) 236-1888Fax: (574) 236-1887
Registry dates
- Enumerated
- 2009-05-26
- Last updated
- 2026-04-30
- Certified
- 2026-04-30
Frequently asked questions
- What is Matthew Folstein's NPI number?
- Matthew Folstein's National Provider Identifier (NPI) is 1952536674, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Folstein's specialty?
- Matthew Folstein is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Matthew Folstein located?
- Matthew Folstein's practice location on file with NPPES is 611 E Douglas Rd Ste 207, Mishawaka, IN 46545-1465.
- What is Matthew Folstein's phone number?
- The practice phone number listed in the NPPES registry for Matthew Folstein is (574) 335-6850.
- Does Matthew Folstein accept Medicare?
- Matthew Folstein is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Folstein's NPI active?
- Yes — Matthew Folstein's NPI (1952536674) is active in the NPPES registry as of the last update on 2026-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.